HESI Leadership RN Samuel Merit

Extract:

Question 1 of 5

When triaging emergency room clients, which client should the nurse assess first?

Correct Answer: C

Rationale: Severe abdominal pain with fever and vomiting suggests a potentially life-threatening condition like appendicitis, requiring immediate assessment.

Question 2 of 5

A 5-year-old boy with mumps is being transferred to the pediatric unit. Which nursing intervention is most important for the nurse to implement?

A. Place an isolation cart outside of the room to initiate droplet precautions. B. Schedule bedside play time with the occupational therapist. C. Instruct the child's parents about the need for transmission precautions. D. Assign the child to a room close to the nurse's station.

Correct Answer: A

Rationale: Initiating droplet precautions with an isolation cart prevents mumps transmission, a priority for infection control.

Question 3 of 5

The nurse is planning care for four postoperative clients, each with a different drainage system. Which information, received in report, requires immediate follow-up intervention by the nurse?

A. 30 mL of serous fluid obtained from compression bulb device in last 4 hours. B. 40 mL per hour of dark, cloudy urine from urinary catheter in last 4 hours. C. 20 mL of serosanguinous drainage from chest tube in last 8 hours. D. No observable drainage from 3-day-old Penrose drain in last 8 hours.

Correct Answer: D

Rationale: No drainage from a Penrose drain may indicate obstruction or infection, requiring immediate assessment.

Question 4 of 5

A staff nurse has been tardy for morning shift assignments for the past three days and provides no explanation for arriving late. Which approach is best for the nurse manager to use when addressing this staff member's tardiness?

A. Offer to switch the nurse's shift assignments to afternoons or evenings. B. Stress the expectation that the nurse will arrive on time for all scheduled shifts. C. Caution the nurse that one more tardiness will result in probational employment. D. Have the nurse sign a copy of the hospital employee attendance policy.

Correct Answer: B

Rationale: Stressing the expectation of punctuality clearly communicates standards and promotes accountability.

Question 5 of 5

It is most important for the charge nurse to schedule a multi-disciplinary team meeting to discuss which client?

A. A business executive admitted with Guillain-Barre syndrome who has residual bilateral numbness in the lower extremities. B. A woman who is pregnant with twins and whose due date is one week away. C. An elderly client admitted through the emergency department with a broken hip whose blood glucose is 400 mg/dL (22 mmol/L). D. A 2-year-old who contracted Hepatitis A while at a local daycare center.

Correct Answer: C

Rationale: The elderly client with a broken hip and uncontrolled diabetes requires urgent, coordinated care to manage multiple acute conditions.

HESI Leadership RN Samuel Merit | Nurselytic

Nurselytic

HESI RN

HESI RN